Direct Deposit Transfer Letter
Complete and sign this form for every party (i.e., employer, vendor) initializing a direct deposit to your account.
Then, give this signed form, along with a voided check from your new HSBC account, to the party making
the direct deposit.
❐ Establish Direct Deposit
HSBC Personal Banking Switch Kit
Issued by HSBC Bank USA, N.A. ©2015 HSBC Bank USA, N.A.
Company
Information
❐ Change my existing Direct Deposit
Company Name
Address
__________________________________________________________________________________
_________________________________________________________________________________________
____________________________________ _________
City State
___________ ___________________
______________________________________________ ______________________
_________________________________________________________________________________
_________________________________________________________________________________________
____________________________________ _________
Zip
Customer
Information
_______________________________
___________ ___________________
Phone #
Name Employee ID#/Account#
Social Security #
Address
City State Zip
Bank
Information
Phone #
HSBC Bank USA, N.A.
Routing Number
Deposit
Information
Note: You can route your direct deposit to more than one account.
1.
________________________________
_______________________
Account Type:
________________________
_______________________________________________
2.
Account Type:
___________________________
❐ HSBC Checking ❐ HSBC Checking
_______________________________
❐ HSBC Savings ❐ HSBC Savings
Account Number:
Account Number:
Amount $ or % (circle one)
Amount $ or % (circle one)
I authorize ____________________________________________(employer/company) to make deposits directly
to my HSBC Bank USA, N.A. account(s) indicated above, and authorize HSBC Bank USA, N.A. to accept
such deposits.
Customer Signature Date
Routing
Number
Account
Number
Check
Number
